SEC Form 4 · accession 0001493152-17-003201
POSITIVEID Corp · PSID
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ned L Siegel
Director
Period of report
Mar 29, 2017
Accepted (ET)
Mar 31, 2017 · 3:55 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001347022
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series II Convertible Preferred StockF1,F3,F2 | $0.0002 | Mar 29, 2017 | A | 50 | A | — | — | Common Stock | 277,777,778 | 176 | D |
Explanation of responses
- F1On March 29, 2017, PositiveID Corporation granted to Mr. Siegel 50 shares of Series II Convertible Preferred Stock ("Series II") as a component of his compensation for 2017. The Series II granted to Mr. Siegel have a stated value of $1,000 per share and are convertible into 277,777,778 shares of common stock, par value $0.0001 ("Common Stock"), at a conversion price of $0.00018 per share. The Series II will vest on January 1, 2019. Each share of Series II holds 25 votes per share for a total of 6,944,444,444 votes.
- F2No expiration date.
- F3As of March 29, 2017, Mr. Siegel owns (i) 12,622 shares of common stock and 60,800 options to purchase shares of Common Stock; and (ii) 176 shares of Series II, which were convertible as of March 29, 2017 into 1,004,243,531 shares of Common Stock. Each share of Series II holds 25 votes per share for a total of 25,106,088,280 votes.